Floating teeth - alveolar carcinoma

Case contributed by Ian Bickle
Diagnosis certain

Presentation

An adult male presents with swelling of the right side of the face with unstable dentition.

Patient Data

Age: 35 years
Gender: Male

Destruction of the right mandibular body, involving both the lingual and buccal surfaces.

Several 'floating' teeth.

Associated soft tissue and a necrotic submandibular (1b) lymph node.

Case Discussion

Floating teeth is a uncommon finding.  It describes teeth which appear suspended in air, as a result of body destruction of the mandible or maxilla.

Multiple pathologies can be responsible - in this case it resulted from a histologically proven alveolar carcinoma (an oral malignancy arising from the alveolar ridge).

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